Because Every Child Deserves a Christmas... Join us for one Ride or BOTH Rides:

Saturday October 23rd, 2010 (Dallas Stars game & ride) or on Saturday, Dec. 4th, 2010 at Family Power Sports, in McKinney


This completed form is required to participate in the Event. 

Print this form, fill it out, and bring it with you to speed up the registration process.

REGISTRATION FORM

FULL AND COMPLETE RELEASE
Dallas STARS Ride and Game / DFW TOYS FOR TOTS MOTORCYCLE RUN
October 23rd, 2010 / December 4th, 2010

Rider Information

First Name:

Last Name:

License Plate #:

State of Issue:

 

 

 

 

Street:

City:

State: Zip:

 

 

 

 
Emergency Contact (Name and Phone): Email Address:
   
Passenger Information

 

 

First Name:

Last Name:

 

 

Street:

City:

State: Zip:

 

 

 

 
Emergency Contact (Name and Phone): Email Address:
   

Please check all that applies:  

   October 23rd  - Ride and Game   October 23rd  - Ride Only   December 4th Ride

ASSUMPTION OF RISK, RELEASE OF LIABILITY, COVENANT NOT TO SUE, AND INDEMNITY AGREEMENT (“Release”)
IMPORTANT!!!  PLEASE READ BEFORE SIGNING

1. I, the undersigned, understand that the described activities above and here-in called the DFW Toys for Tots Motorcycle Run or Dallas Stars Ride and Game (both hereafter referred to as “RIDE”) refers to the actual events and rides,  and The Dallas Stars, The Metroplex Marines, Metroplex Military Charitable Trust, DFW Toys for Tots, and those individuals and groups organizing, sponsoring, volunteering, or otherwise connected with the production of these events. 

2. The RIDE involves motorcycle activities which can be a HAZARDOUS activity. There are many dangers and risks associated with motorcycles including, but not limited to, injury or death resulting from collision with pedestrians, vehicles, other fixed or moving objects; dangers arising from surface hazards such as potholes or poor road conditions; equipment failure, inadequate safety equipment, conditions stemming from weather, the negligence of myself or others, and trauma or injury arising from the stresses caused by physical exertion. 

3. I understand that the RIDE activity is conducted over public roads upon which the hazards of traveling are to be expected. I acknowledge that the RIDE has no responsibility for the condition or maintenance of the roads or facilities upon which the RIDE activity will be conducted. I agree to accept responsibility for the condition of my motorcycle and I take full responsibility to wear or not wear a DOT approved helmet during the RIDE and do so in accordance with current law.  I have adequate liability insurance for myself and my passenger as required by current motor vehicle operation laws.

4. I agree, as a consideration of, and in consideration for, being allowed to participate in the RIDE activity, to freely and expressly assume all risks of injury or death to me, or property loss or damage, including injury, death, loss or damage attributable to the negligence of the RIDE and the spouses, promoters or affiliated organizations, and their respective agents, directors, officers, volunteers and employees (the “Released Parties”).

5. I also agree to release and forever discharge the Released Parties from any and all responsibility or liability for all injuries or damages that result, either directly or otherwise, from my participation in or attendance at the RIDE activity. I agree not to make a claim against or sue the Released Parties for injuries or damages relating to the RIDE activity. I further agree to indemnify and hold harmless the Released Parties for all expenses incurred due to my participation in the RIDE activity, including

medical and legal or other expenses. As liquidated damages, I hereby agree that if any of the Released Parties are forced to defend any action, lawsuit or litigation by me, my executors, or my heirs on my behalf, I agree to pay the Released Parties’ costs and attorney’s fees if they successfully defend such action, lawsuit or litigation.

6. If I am injured or become ill, I give permission for transportation to any medical facility and/or hospital and I consent to and authorize the provision of emergency first aid or medical treatment. I agree to be solely responsible for any costs related to such first aid or treatment.

7. I further agree to allow all photographs, video and/or digital images reproduced in association with the RIDE activity to be used in any way by the RIDE, and release all claim to rights in and to those images, without restriction.

8. I am aware that that this is a release of liability and a contract between myself and the RIDE. I am signing it freely and of my own accord and I recognize and agree that it is binding upon myself, my heirs, and my assigns, and in the event that I am signing it on behalf of and minors, I have full legal authority to do so, and I realize the binding effect of this contract on them, as well as myself.  In this Release, the use of “I”, “me”, and “my” shall be deemed to include my spouse and any minor on whose behalf I am signing it.  Should a court of competent jurisdiction declare any word, sentence, clause, paragraph or part of this agreement unenforceable, the remaining parts shall remain in full force and effect.  A copy of this Release can be used as if it were an original.

I, THE UNDERSIGNED HAVE CAREFULLY READ THIS ASSUMPTION OF RISK, RELEASE OF LIABILITY, COVENANT NOT TO SUE, AND INDEMNITY AGREEMENT (“Release”).  I FULLY UNDERSTAND AND AGREE TO ITS CONTENTS.  Further, I represent that all information on this registration form is true and accurate and assume full liability for any errors or omissions.

Signature:                                                                                               

Print Name:                                                                                              

Date:                                                                                    

Passenger Signature:                                                                              

Print Name: